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Objective:
to carry out a theoretical reflection on the Nursing Now Campaign and the experience of the unexpected irruptions facing the pandemic period.
Method:
a theoretical-reflective study, supported by the theoretical framework of complexity thinking. It aims at understanding the dialogic between the notions of order, disorder and organization, which translate the transition from simplification to complexity of the pandemic phenomenon and its relation to the theme of Nursing Now and Nursing in the future.
Results:
the universe of phenomena is simultaneously composed of order, disorder and organization. Reasserting the central role of Nursing in the health team, facing the irruptions and uncertainties caused by the current pandemic, implies the ability to dialog with disorder and raise a new and more complex global (re)organization of the being and doing Nursing.
Conclusion:
in addition to answers, theoretical reflection raises new questions and irruptions. The inseparability between the notions of order and disorder in the evolutionary dynamics of the Nursing system is conceived and the promotion of even more complex levels of organization, management and Nursing assistance to achieve universal access to health is advocated.
Objective:
To understand the meaning of entrepreneurial nursing care as inducer of healthy practices in vulnerable communities.
Method:
Grounded theory, whose data collection took place between March and December 2019, from interviews with 19 participants from the central region of Rio Grande do Sul, Brazil and comparative data analysis.
Results:
The phenomenon was delimited: Experiencing small/big transformations in the invisibility of everyday life in promoting healthy practices in vulnerable communities. Conducted by the paradigmatic model, the categories were named based on the components: Condition: Making choices and negotiating non-negotiable exchanges; Action/interaction: Motivating oneself to maintain basic human needs; Consequence: Broadening perspectives and transcending personal and collective boundaries.
Conclusion:
Entrepreneurial nursing care as inducer of healthy practices in vulnerable communities is not reduced to a scientific theory or to the linear and decontextualized apprehension of healthy living, but extends to reach small/big transformations that occur in the invisibility of everyday life.
Beratung leistet einen wichtigen Beitrag zur Stärkung und Stabilisierung der häuslichen Pflege. Ein geeignetes Instrument zur Unterstützung einer systematischen Situationsanalyse und zur Erfassung des Beratungsbedarfes kann die Qualität der Beratung verbessern und auf ein einheitliches Niveau heben. Auf Basis einer systematischen Literaturrecherche werden in diesem Beitrag acht Assessmentinstrumente vorgestellt, die für die Beratungsangebote nach SGB XI in Frage kommen. Dabei zeigt sich Entwicklungsbedarf für ein Instrument, welches die Besonderheiten des intrapersonalen Beratungsprozesses berücksichtigt und unabhängig vom gesetzlich definierten Beratungsanlass zum Einsatz kommen kann.
In der Gesundheitsversorgung kommt es vermehrt zu ethischen Konfliktsituationen. Gründe dafür sind unter anderen der demografische Wandel und die Zunahme an chronisch Erkrankten. Somit werden neben medizinischen und pflegerischen auch ethische Kompetenzen benötigt. Verschiedene Formen ethischer Fallbesprechungen werden genutzt, um in Form eines partizipativen Entscheidungsfindungsprozesses ethisch begründete Handlungsempfehlungen zu treffen. Das Malteser-Konzept, welches auf Grundlage der Nimwegener-Methode entwickelt wurde, enthält eine sechsschrittige Gesprächsstrukturierung für interne prospektive Fallbesprechungen und beinhaltet zudem die vier ethischen Grundsätze der Prinzipienethik. Insgesamt kann die Inanspruchnahme ethischer Fallbesprechungen sowohl die Patienten- als auch die Mitarbeiterzufriedenheit steigern und als Nebeneffekt weitere positive Wirkungen erzielen.
Objective: To understand the significance of healthy living for users, professionals and managers of the Family Health Strategy (FHS) team.
Methods: Research of a qualitative nature, based on grounded theory. For data collection, interviews were conducted with 25 participants, including users, professionals and managers of a FHS team, during the period between March and December, 2009. Results: The collection and analysis of data was conducted in a systematic and comparative manner, demonstrating that healthy living can be characterized as a selforganizing process, mediated by the action of the FHS team professionals, especially by the community health agent, through creation of bonds of trust and stimulation of interactions and community associations. Conclusion: We concluded that healthy living is a singular phenomenon, complex, interactive, associative, political and social, coupled with the active involvement and participation of the users and by the engagement of effective and socially responsible professionals, managers and established political authorities.
O presente estudo objetivou compreender o significado da atuação profissional de uma equipe ESF em uma comunidade socialmente vulnerável. Utilizou-se como referencial metodológico a Teoria Fundamentada nos Dados e como técnica de coleta de dados a entrevista, realizada entre julho a dezembro de 2009, com 25 profissionais que integram a Estratégia Saúde da Família (ESF). A análise dos dados demonstrou que a ESF pode ser considerada uma estratégia facilitadora e estimuladora do processo de ampliação e de consolidação das redes de cuidado em saúde, à medida que sinaliza para uma nova abordagem de intervenção comunitária, pela valorização do ser humano como um ser singular e multidimensional, inserido em seu contexto real. Um novo modelo assistencial se desenvolve, em suma, mediante a reorganização da prática de atenção à saúde, intermediada pela multiplicidade de relações, interações e associações complexas que ocorrem no contexto familiar e social.
Objectives: This paper addresses recent steps for reforming the eligibility criteria of the German long-term care insurance that have been initiated to overcome shortcomings in the current system.
Methods: Based on findings of a survey of international long-term care systems, assessment tools and the relevant literature on care needs a new tool for determining eligibility in the German long-term care insurance was developed.
Results: The new tool for determining long-term care eligibility broadens the understanding of what ‚dependency on nursing care' implies for the person affected. The assessment results in a degree of dependency from personal help provided by formal or informal caregivers. This degree of dependency can be used for determining eligibility for and the amount of long-term care benefits.
Discussion: The broader understanding of "dependency on nursing care' and the new tool are important steps to adapt the German long-term care insurance to the challenges of the demographic and societal changes in the future
O presente estudo objetivou compreender o significado da atuação profissional de uma equipe ESF em uma comunidade socialmente vulnerável. Utilizou-se como referencial metodológico a Teoria Fundamentada nos Dados e como técnica de coleta de dados a entrevista, realizada entre julho a dezembro de 2009, com 25 profissionais que integram a Estratégia Saúde da Família (ESF). A análise dos dados demonstrou que a ESF pode ser considerada uma estratégia facilitadora e estimuladora do processo de ampliação e de consolidação das redes de cuidado em saúde, à medida que sinaliza para uma nova abordagem de intervenção comunitária, pela valorização do ser humano como um ser singular e multidimensional, inserido em seu contexto real. Um novo modelo assistencial se desenvolve, em suma, mediante a reorganização da prática de atenção à saúde, intermediada pela multiplicidade de relações, interações e associações complexas que ocorrem no contexto familiar e social.
OBJETIVOS: Compreender o significado do cuidado de enfermagem como prática social empreendedora.
MÉTODOS: Foi baseada na Grounded Theory que, de forma sistemática, criativa e interativa possibilitou o desenvolvimento da teoria: "Vislumbrando o cuidado de enfermagem como prática social empreendedora". Amostra teórica constituiu-se de 35 sujeitos entrevistados, distribuídos em diferentes grupos amostrais. RESULTADOS: O cuidado de enfermagem como prática social empreendedora está associado ao sistema de relações e interações, à capacidade de interagir com os diferentes atores sociais, na capacidade de criar novos canais de comunicação e ações pró-ativas.
CONCLUSÃO: A partir do cuidado como prática social empreendedora é possível atuar de forma pró-ativa, inovadora e participativa, sem desconsiderar as contradições sociais emergentes.